Before you can deliver an effective and appropriate treatment session, it is important to have gone through a proper interview, physical exam and a working diagnosis. A working diagnosis is not a stepping stone. It allows you to go back and modify your diagnosis as you find new information or other positive signs. It’s important to remember, a patient who has come to you for treatment may have been to multiple other professionals, doctors and specialists. They may have spoken to their work colleagues, family members even their neighbours. They may even have spent countless hours online reading articles about the exact same symptoms they are experiencing right now! What this means is your expectations and the patient’s expectations may not match. And as such, before you start treatment it is crucial you explain to the patient what you are about to do, what they may experience during treatment and what the proposed outcome may be. This will only enhance the positive experience your patient has. There are multiple ways to treat any given problem. Don’t carpet bomb a particular problem! Limit your treatment techniques, and re-assess what effect it had on the patient’s symptoms.
Ajit Singh Lamba